Comprehensive Solutions Driving Innovation & Efficiency
Renovo brings pricing, processing, network strategy, and advanced workflow capabilities into one connected platform designed to help organizations operate more efficiently across complex healthcare markets.
From Mailroom to Electronic Billing, Renovo Can Handle It All
Select a service to preview how it fits into the broader workflow.
Includes data capture and paper conversion, return to provider, PO Box, all postage, and mailroom services implementation (vendor setup fee).
Optical Character Recognition (OCR) and paper/PDF to EDI integration with sophisticated OCR, Intelligent Character Recognition (ICR), and Key From Image (KFI) technologies that automatically extract key data with artificial intelligence for accurate data output from paper/PDF to EDI.
Our platform specializes in the conversion of superbills, invoices, and manually entered billing data that are not formatted as CMS 1500 or UB forms. Renovo seamlessly generates the standard billing form, allowing users to download it in PDF format for convenient utilization.
Electronic billing formats that streamline claims processing by converting paper-based invoices into digital transactions, ensuring accuracy, efficiency, and seamless integration with payers and clearinghouses.
Optimize transaction processing, including supporting attachments, by utilizing thousands of electronic connections within the workers’ compensation market. This approach minimizes USPS mailings while enhancing billing accuracy and increasing staff productivity.
Renovo can work with a client’s mailroom or clearinghouses they use for data capture and bill submission. Our implementation team can work with vendors to set up file exchanges to receive the bill data and images that need to be loaded into Renovo.
Renovo provides an integrated payments solution that seamlessly connects the payments process, leveraging both electronic and print/mail transactions to distribute payments and remittances to providers and vendors.
Mailroom Services
Physical intake, paper handling, routing, postage, and implementation support.
Includes data capture and paper conversion, return to provider, PO Box, all postage, and mailroom services implementation (vendor setup fee).
Includes data capture and paper conversion, return to provider, PO Box, all postage, and mailroom services implementation (vendor setup fee).
Optical Character Recognition (OCR) and paper/PDF to EDI integration with sophisticated OCR, Intelligent Character Recognition (ICR), and Key From Image (KFI) technologies that automatically extract key data with artificial intelligence for accurate data output from paper/PDF to EDI.
Our platform specializes in the conversion of superbills, invoices, and manually entered billing data that are not formatted as CMS 1500 or UB forms. Renovo seamlessly generates the standard billing form, allowing users to download it in PDF format for convenient utilization.
Electronic billing formats that streamline claims processing by converting paper-based invoices into digital transactions, ensuring accuracy, efficiency, and seamless integration with payers and clearinghouses.
Optimize transaction processing, including supporting attachments, by utilizing thousands of electronic connections within the workers’ compensation market. This approach minimizes USPS mailings while enhancing billing accuracy and increasing staff productivity.
Renovo can work with a client’s mailroom or clearinghouses they use for data capture and bill submission. Our implementation team can work with vendors to set up file exchanges to receive the bill data and images that need to be loaded into Renovo.
Renovo provides an integrated payments solution that seamlessly connects the payments process, leveraging both electronic and print/mail transactions to distribute payments and remittances to providers and vendors.
Our Platform Is Built With Advanced Features
Access & Customize Networks With
Pricing Tools to Maximize Savings
Filter the tools, then select one to view the full description.
Renovo, our proprietary bill review software, offers clients an application that is integrated with PPO Networks along with coding reviews, duplicate detection, and industry specific adjustments. This seamless program gives you rapid turnaround time, online access, customized features and reporting, and competitive pricing options.
“Bill Edits” is defined as scrubbing edits from CMS, AMA, or any other medical source and applied to an individual bill.
Prime Health systematically stores and maintains up-to-date Medicare pricing methodologies, ensuring our clients have access to benchmark pricing and the capability to reprice services in alignment with nationwide Medicare rates.
Prime Health manages a comprehensive UCR database to provide our clients with access to benchmark pricing and the ability to perform repricing according to UCR standards on a national scale.
The Prime Health negotiations solution utilizes our very own qualified negotiations professionals who pay close attention to medical charge billing while thoughtfully and expeditiously researching and negotiating bills for appropriate level of payment.
This solution meticulously assesses surgical implants through six essential savings and reduction modules, aiming to greatly reduce costs and offer clear insights into trends that inform medical managers. Prime’s data-driven systems improve pricing transparency and objectivity for surgical implant devices. Our comprehensive evaluations guarantee fair reimbursement, providing clients with robust assurance and support for their pricing strategy.
The Prime FMP+ methodology will be deployed based solely upon pre-established and mutually agreed to parameters, such as state, provider type, bill type, bill amount, etc. The methodology applied is based on annualized reimbursement data from a nationwide dataset of average and accepted reimbursements, reported cost data, historical charge reports and negotiated results for each bill.
Prime Health efficiently maintains current State and Federal Fee Schedules within a robust database, enabling our clients to access repricing options that adhere to regulatory requirements across various states and federally mandated programs.
Leveraging ODG’s industry-leading medical treatment and return-to-work protocols, along with an extensive drug formulary for workers’ compensation, our solutions integrate evidence-based medical literature with advanced claims data analytics. This synergy optimizes outcomes by ensuring appropriate intervention levels tailored to individual cases.
Adaptive Bill Review platform maximizes claims cost savings beyond conventional comprehensive bill review with a patented provider-centric technology that enables detection of FWA you know is there but can’t see today.
Medical Bill Review
Integrated bill review with PPO connectivity, coding review, duplicate detection, and industry-specific adjustments.
Renovo, our proprietary bill review software, offers clients an application that is integrated with PPO Networks along with coding reviews, duplicate detection, and industry specific adjustments. This seamless program gives you rapid turnaround time, online access, customized features and reporting, and competitive pricing options.
Renovo, our proprietary bill review software, offers clients an application that is integrated with PPO Networks along with coding reviews, duplicate detection, and industry specific adjustments. This seamless program gives you rapid turnaround time, online access, customized features and reporting, and competitive pricing options.
“Bill Edits” is defined as scrubbing edits from CMS, AMA, or any other medical source and applied to an individual bill.
Prime Health systematically stores and maintains up-to-date Medicare pricing methodologies, ensuring our clients have access to benchmark pricing and the capability to reprice services in alignment with nationwide Medicare rates.
Prime Health manages a comprehensive UCR database to provide our clients with access to benchmark pricing and the ability to perform repricing according to UCR standards on a national scale.
The Prime Health negotiations solution utilizes our very own qualified negotiations professionals who pay close attention to medical charge billing while thoughtfully and expeditiously researching and negotiating bills for appropriate level of payment.
This solution meticulously assesses surgical implants through six essential savings and reduction modules, aiming to greatly reduce costs and offer clear insights into trends that inform medical managers. Prime’s data-driven systems improve pricing transparency and objectivity for surgical implant devices. Our comprehensive evaluations guarantee fair reimbursement, providing clients with robust assurance and support for their pricing strategy.
The Prime FMP+ methodology will be deployed based solely upon pre-established and mutually agreed to parameters, such as state, provider type, bill type, bill amount, etc. The methodology applied is based on annualized reimbursement data from a nationwide dataset of average and accepted reimbursements, reported cost data, historical charge reports and negotiated results for each bill.
Prime Health efficiently maintains current State and Federal Fee Schedules within a robust database, enabling our clients to access repricing options that adhere to regulatory requirements across various states and federally mandated programs.
Leveraging ODG’s industry-leading medical treatment and return-to-work protocols, along with an extensive drug formulary for workers’ compensation, our solutions integrate evidence-based medical literature with advanced claims data analytics. This synergy optimizes outcomes by ensuring appropriate intervention levels tailored to individual cases.
Adaptive Bill Review platform maximizes claims cost savings beyond conventional comprehensive bill review with a patented provider-centric technology that enables detection of FWA you know is there but can’t see today.
